Halvorsen Thomas, Martinussen Pål E
SINTEF Technology and Society, Dept. of Health Research, PO Box 4760, Sluppen, N 7465 Trondheim, Norway.
Norwegian University of Science and Technology, Dept. of Sociology and Political Science, Norway.
Soc Sci Med. 2014 Jun;111:25-34. doi: 10.1016/j.socscimed.2014.03.018. Epub 2014 Mar 21.
Research on chronic obstructive pulmonary disease (COPD) that includes geographic information is important in order to improve care and appropriate allocation of resources to patients suffering from COPD. The purpose of this study is to investigate the geography of COPD and factors associated with the spatial patterns of COPD prevalence. Particular emphasis is put on the role of the local socioeconomic environment. Utilising information from the Norwegian Prescription Database on all lung medication prescribed in 2009 we identified 62,882 persons with COPD in the Norwegian population. Patterns of spatial clustering in the prevalence of COPD are clearly evident, even when age and gender are controlled for. Gender and age are strongly related to COPD risk. Socio-economic characteristics of the community such as education and unemployment are also significantly correlated with COPD risk. People living in rural parts of the country are generally associated with less risk than people in urban settings, and in particular people living in communities with high levels of farm and fisheries employment.
包含地理信息的慢性阻塞性肺疾病（COPD）研究对于改善护理以及为COPD患者合理分配资源至关重要。本研究的目的是调查COPD的地理分布以及与COPD患病率空间模式相关的因素。特别强调当地社会经济环境的作用。利用挪威处方数据库中2009年开具的所有肺部药物信息，我们在挪威人群中识别出62,882名COPD患者。即使对年龄和性别进行了控制，COPD患病率的空间聚集模式仍清晰可见。性别和年龄与COPD风险密切相关。社区的社会经济特征，如教育程度和失业率，也与COPD风险显著相关。该国农村地区的居民通常比城市地区的居民风险更低，特别是那些生活在农业和渔业就业水平较高社区的居民。
